Provider Demographics
NPI:1538225438
Name:DILLMAN, ROBERT O (MD FACP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:O
Last Name:DILLMAN
Suffix:
Gender:M
Credentials:MD FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE HOAG DRIVE
Mailing Address - Street 2:BLDG 41 HOAG CANCER CENTER
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-6100
Mailing Address - Country:US
Mailing Address - Phone:949-764-8091
Mailing Address - Fax:949-764-8102
Practice Address - Street 1:ONE HOAG DRIVE
Practice Address - Street 2:BLDG 41 HOAG CANCER CENTER
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92658-6100
Practice Address - Country:US
Practice Address - Phone:949-764-8091
Practice Address - Fax:949-764-8102
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC038008207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A36819Medicare UPIN